Individual
DR. JODY ROBERT GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Mailing address
2345 SAMPSON ST, WESTLAKE, LA 70669-2711
(337) 439-1484
(337) 430-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201478
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073750
—
LA
Enumeration date
03/07/2007
Last updated
01/10/2008
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